SIMON CAMPA JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119219

License Status

NOT RENEWED

Business

First Name

SIMON

Last Name

CAMPA

Suffix

Business Name

SIMON CAMPA JR

Original Issue Date

10/29/1997

Effective Date

10/29/1997

Expiration Date

03/31/1998

City

ROCKFORD

State

Zip

61107

County

BOONE

Ever Disciplined

LastModifiedDate

10/17/2005